DEPARTMENT OF INSURANCE
Licensee Search Details
NameBoothe, Vernon ADOIID1132462NAIC NPN19680692
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentHealth5/3/20213/31/2023  
InactiveNon ResidentAgentLife5/3/20213/31/2023  
*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.
No License Renewal Information
NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.
Address Information
TypeAddress
Business / Home Office6404 Glenwick Dr Fort Worth, TX 76123
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailinfo@restorationhealth.org
Phone Information
TypePhone
Business / Home Office(682) 268-0057

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